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General NPI Number Information
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NPI Number | 1881110690
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Entity Type | Individual
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Provider Name | HANNA-MARIE BROCKWAY APRN
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Gender | Female
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Dates
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Enumeration Date | 08/15/2017
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
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City | LAKEWOOD
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State | WA
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Zip | 98499
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Country | US
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Telephone | 253-968-1484
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Fax |
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Provider Business Mailing Address
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Address Line | MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
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City | LAKEWOOD
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State | WA
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Zip | 98499
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Country | US
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Telephone | 253-968-1484
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 021513
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.11002015
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License Number State | FL
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